HomeMy WebLinkAboutBuilding Permit 09-0984
5" 0)( 0 o~ooo "0 I > -0
z_
III 0 X 0 ~~
i ~ en."z."."." 0 0
a !l 3: =izen~OO z m ::0 mo
0 ::u 3: !!!>ci:~~ m ::u m 0."
~ :-! ;lIi zr-s;zoz Z en ::j"O
en m p en
~ > z ~ ::jCi)?4Ci) O::u
z-
-i -f m 0 - ....... zO
~ en o z 0
0 en -i z ~ 0::U
S -i )!
co ::u 0 0 C> ~s;
~ 01 .;lIi 0
0 Z -i Z O;lli
." 0 > 0 mm
~ 0 > z ::u
::u r- 0 .-<
~ r-
-4 ." 'tl 'tl
~ X 0 ::u ::u
~ m ::u 0 0 000000
z ::u 0 0
~ m m m m i:"Oen~i:"
>< z m m mr-~)Omr-
-i 0 0 OC -iOC
:.tI Z ~ en xi: mxi: 0 en
~ ~ " "0
en m .,,!!!::u;u;u!!! m 0 0
Cl ~ "0 ::J 0 zZxx-z ;u z x
~ m Cll -i >Ci)go Ci) i: -i m
0 :::t 0 r-." 0 ::u =i !O 0
~ ()
::j 0 z zee - z C
~ 0 a 1Jl r-
~'tl'tl P m
z :-! m 0
."
~ N 0
....
X ;u
m
~ 0 0 -.I) ....
C 0 J~
;u < 000000 I
en m
~ Z ;u Ci)"'",O~ ~
> z >~~o
~ 0 Ci) ~mmi:Ci)
~ ~ _"O'tl'tl~
~ ~S:S:S:o
Z >OOz:;;
~ 0 _mm-i_ I
rn ;U"';u r- :!
-i-- r- I:
en~ Z m
-ir- Ci)
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(JA
White
Pink
Yellow
File
City
Applicant
I PERMIT NO.
1-,64-1
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
~ls.scL
(o..l5 (iJUCTlON I~ C
(Phone)
(Address) Ian ~l(~ ~T~~f
lO$!-'Il(L~
11'\/11.
ss((~
..--.
\.
(Address)
fAt.J L /11Adt SO'"
":S€ ,;- j:. l< cSS l L
~~, ~lC' .s37~
BUILDER
(Company Name)
(Contact Name)
tiJ
,rol-oUt1-€7sr
(Phone) ,,( ~ . '8 ~- ~ 0 ~(~-
1~lo~ Urf<( 1M!
CaNST: LL (
(Phone)
CIJUuU,( HILL
/I.E.
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
III IV
H I
2 3
V
M
4
I
E
II
F
1
o Misc.
A
R
5
oJ, 6 (JiI
00
B
S U
PROJECT CO ALUE $
(excluding land)
I hcreby certify that I have hlrmshed mformation on this application which is to the best of my knowledge true and correCL I also certify that I am the owner or authOrized agent for the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:cial can revor;:;l~:Z;lhermore. I hereby agree that the City official or a designee may enter upon the property to perform needed mspecllons.
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Pennit When Approved
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ (22 . ~ f
I~o, 5'(252
Paid
Date
1'1..'1. .(. ~
II. 3o~CI
ThiS IS to certify that the request in the above applicatIOn and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. Tlus document
when signed by the City Planner constitutes a temporaty Celtificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372
..-.
co
en
N
'-'"
~
~
~
I
co
Q)
en
o
."
o
~
)>
r
r
-
z
en
"lJ
m
o
-f
-
o
z
en
"11
-
Z
~
r-
"11
o
g
z
C)
ZOJ-UC-fen
ocmen-<-
""'ir:Dm-urri
~~S::om)>
""'i""'i:n -i" 0 0
:x: :x: z OJ " 0
m(ii pC:E:D
"tJ_ rOm
men o:n~
:0 Z Z ^
!;o I G)
""'i""'i
(ii:t>
m"tJ
<m
en:o
m!;
~""'i
:0"
)>0
""'i:O
m)> 0
CZ ~
0< m
00 en
e " en
3: ""'i C
m:x: m
Zm "'U 0
""'i_ I
Zo
enz
"tJ
m=h:
o
""'i
c t~O
~ "'1 Z
m tv en
.m
~5
D=E
ex
~
-a
::D
o
:JJ
:JJ Z r-
men)>
o~ "
Oom
::D-I
Co
Z
me
em
i=~
2:0
Z""'i
Gl3:
~m
z~
~o
z"
en
"'0
m
o
-t
o
Z